disseminated intravascular coagulation, spontaneous hemoperitoneum,
uterine inversion, and uterine incarceration, [ 14-17]
Can uterine fibroids be treated during pregnancy?
Although removal of fibroids during pregnancy has been
performed safely during the first and second trimesters of pregnancy
removal of fibroids during pregnancy is
usually reserved for women who have subserosal or
pedunculated fibroids with pain that is unresponsive to rest,
intravenous fluids, NSAIDs , and narcotic medications [2,9].
Will the fibroid grow?
Overall most uterine fibroids do not appear to change in
size during pregnancy. Growth of fibroids seems most likely to occur during the
first trimester in fibroids larger than 5 cm in diameter. Fibroids less than 5
cm in diameter tend to remain stable or decrease in size .
If I have a cesarean delivery can the doctor remove the fibroid at the
time of the surgery?
Removal of fibroids (myomectomy) at the time of cesarean delivery has been associated with significant hemorrhage
in some studies [2,9]. However, in experienced hands removal of easily reached
subserosal or pedunculated fibroids may be a safe procedure [11-13].
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